Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2010
NPI: 1295149367
Practice Locations (1)
MAIN LINE HEALTHCARE
306 E LANCASTER AVE, 200 MAIN LINE HEALTH CARE IN WYNNEWOOD
WYNNEWOOD, PA 190962105
4845651293
Source: CMS National Downloadable File, September 2026.